Open Menu

Applications

axium IconBlackboardStudent EmailFaculty/Staff emailRomexisMediasiteHS/HSL LIBRARYiTunesUmyUMBSecond LifeSurfsCommittee Search Database
Untitled Document

Core Imaging Facility User Registration Form

 
First Name*:
Last Name*:
E-Mail*:
EM Facility use:
Confocal Facility use:
UMB ChartString PCBU*:
ProjectID*:
Department*:
School*:
Other affiliation:
PI (Last,First)*:
Room:
Building:
Number, Street*:
City:
State:
Zip:
Country:
Office (tel)*:
Lab(Tel):
Cell:
Fax:
ProxCard Number:

* Required Fields.

All UMB users must provide PCBU and Project ID for billing purpose.

The 5-digit UMBOne card number is show, circled in red on the back of your UMBOne card.

UMBOne proxcard Number